Susan Mellott PhD, RN, CPHQ, CPPS, FNAHQ

2

TestTakingTips�CPHQ Exam

� Computerized, comprehensive, job-related objective test

� www.cphq.org – Candidate Handbook� 140 Multiple choice questions - 15 are not

scored� Recall - 26%� Application - 54%� Analysis - 20%

3

TestTakingTips� Application questions require ability to interpret or apply

information to a situation

� Analysis questions test ability to evaluate, problem solve, or integrate a variety of information and/or judgment Into a meaningful whole

4

TestTakingTips�Management and Leadership (28

items or 22%)

� Information Management (30 items or 24%)

�Performance Measurement and Improvement (47 items or 38%)

�Patient Safety (20 items or 16%)

5

TestTakingTips� Test differentiates between candidates who are able to

demonstrate competence & those who aren’t

� Test is written to test the knowledge, skills & abilities of effective quality professionals who have been performing a majority of the tasks on the exam outline for 2 years

� Not a test for entry level & is not appropriate for entry level quality practitioners

6

TestTakingTips� References and other Study Materials

� Content Outline itself (found in Candidate handbook)

� See list in Candidate Handbook for references

� Avoid other materials not listed as appropriate reference resources

� CPHQ Practice Exam - $99 members & $119 non-members

7

TestTakingTips� Questions are written by practitioners in the field

of healthcare quality management, case/care/disease/utilization management, and risk management

� Content of test is representative of important aspects of healthcare quality professional’s job

� Content based on International Practice Analysis� Performed every 3 years� Next content outline change will be January 2018

8

TestTakingTips� Each question on the test must relate to one of

the statements on the content outline

� Each statement was rated significant to practice by QM professionals

� Statements are significant to practice in the major types & sizes of healthcare facilities and organizations, including managed care

9

TestTakingTips� Calculators ARE allowed

� Simple battery powered pocket calculator with no memory, alphanumeric keypad, can’t print or store data

� Will have a pencil and scratch paper given to you

� Wallets and keys are only things allowed in room� No watch, hats, coats, etc.

10

TestTakingTips� Answer those questions with which you are

comfortable.� Pass over those that draw a blank

� Blank square to right of time box to bookmark question to return to it later

� Comments� Click on ! To the left of the time box to leave your self or the

certification board a note

� To check how much time you have left, click on the time box on the lower right hand side of the screen

11

TestTakingTips� Have three hours to take test

� To check how much time you have left, click on the time box on the lower right hand side of the screen

� Will have 140 questions to answer – BUT only 125 count for the test� Other 15 questions are being piloted

12

TestTakingTips� Read carefully words such as “except” “not” or

“least”� Beware of choices such as “always” and “never”� Anticipate the answer, then look for it� Consider all alternatives� Exclude obviously wrong answers� Look for hints in the grammar of the question� Relate each option to the question� No penalty for guessing!

13

TestTakingTips� Balance options against each other� Use logical reasoning� Choose answers that contain words you know� Pace yourself -- watch your time� Don’t be distracted by others taking tests� Study groups are great!

14

TestTakingTips� To apply go to www.cphq.org

� Select CPHQ Exam � Complete the application� Pay the fee for the exam

� Non-Member $469 � NAHQ Members $399

� Will receive an email from AMP about 1 week later with instructions on how to schedule the exam

� Need the unique ID number you receive in the email

15

TestTakingTips� Testing centers are typically located in HR Block

offices.

� You can take the test within a week.

� Times are 9am or 1:30pm & days vary by location

� If 15 minutes or more late – will not be able to enter

16

TestTakingTips� You have 3 hours to take the exam.

� Relax the night before. If you don’t know it by then, you don’t know it.

� Allow plenty of time for traveling to test destination

� Your eligibility to take the test is valid for 90 days.

� If you need to reschedule, must do it at least 2 business days (by 3pm) before the test date� AMP – 888-519-9901

17

TwoQuestionsAlwaysAsked

�What is the passing score?

�How many pass the test the first time?

18

AtYourTestSite!� Identification is checked – need 2 IDs

� MUST have one of the following:� Drivers license with picture� State Identification card with picture� Passport� Military ID with picture

� Other ID must have your name and signature� Credit card� Student ID with signature� Etc.

� Name must be exactly the same on both identification cards

19

AtYourTestSite!� Log in

� Take your own picture � Picture appears on Score Report

� 15 minute pre-test to familiarize with the keyboard and questions.

� Begin the exam - 3 hours to complete 140 questions

20

AtYourTestSite!� Evaluation questions -

� After the exam, not part of 3 hour limit� You can not re-enter exam after entering this section!

� Finish the evaluation

� Exit the system

� Receive Score Report from proctor

� Total time - 3 1/2 to 4 hours

21

AndThen…...� HQCB will mail you a letter & packet of

information about 1 month following the month in which you took the test� If exam is taken Feb 15th, then expect letter & packet at

the end of March or beginning of April� ID card� Certificate� CPHQ Pin

� BUT begin using CPHQ after your name from the moment you pass the test!

22

AfterYouPasstheExam� Renew every 2 years in December

� Cycle begins January 1 of the year following the completion of the certification examination

� Must have 30 CE hours when renew

� CE topics must be on the current Content Outline

� Renewal Fee is $175 members & $200 for non-members

23

Chapter 1

24

WhatisQuality?� Best defined by the recipient of care or services

� It is not just good care or services

� Have to also look at the risks of care and the cost of that care

25

Page 5

26

QUALITY,COST,ANDRISKINTEGRATION

26

=Quality of Care/Services + Outcomes

CostValue

Page 6

Integrated Perspective

Governance

Management

Support

27Page 6

Clinical

QUALITYMANAGEMENT:BASICPRINCIPLES

� Productive Work is Accomplished Through Processes.

� Sound Customer-Supplier Relationships are Absolutely Necessary for Sound Quality Management.

� The Main Source of Quality Defects is Problems in the Process.

� Poor Quality is Costly.

28Page 7

QUALITYMANAGEMENT:BASICPRINCIPLES

� Understanding the Variability of Processes is Key to Improving Quality.

� Quality Control Should Focus on the Most Vital Processes.

� The Modern Approach to Quality is Thoroughly Grounded in Scientific and Statistical Thinking.

29Pages 7-8

QUALITYMANAGEMENT:BASICPRINCIPLES

� Total Employee Involvement is Critical.� New Organizational Structures Can Help

Achieve Quality Improvement.� Quality Management Employs:

� Quality planning� Quality control (measurement)� Quality Improvement

30Page 8

TOTALQUALITYMANAGEMENT� An Organizational Management Philosophy and

Top-Level Commitment to Foster a Belief in the Value of:

ØCustomers

ØEmployees/staff

ØManagement

ØTeamwork

31Page 9

CONTINUOUSQUALITYIMPROVEMENT

ØCQI is a Management Process or Approach of Study and Improving Processes

ØIt is a Management Method for Creating TQM

ØAt CQI’s Core is a Quality Culture/Patient Safety Culture

32Page 10

THECONCEPTOFCUSTOMER� “Customer” – One Who Receives

Goods or Services

� External Customer – Those Outside the Organization Receiving Services

� Internal Customer – Those Performing Work, but Dependent On Others Within the Organization Performing Work

� Customer Supplier Relationships

33

Page 12

RESPONSIBILITIESOFTHEQUALITYPROFESSIONAL

ØUnderstand Principles of TQM and CQIØDevelop a Healthcare Quality StrategyØParticipate in Preparation for External AwardsØArticulate to Leadership How to Use

Ø TQM and CQIØ Data MeasurementØ AssessmentØ Improvement

ØLead and facilitate change within the organization

34 Page 13

QualityProfessionals:� Critical part of integrating quality functions within an

organization

� Interdisciplinary collaboration is critical

� Table 5 on page 14 of the Healthcare Quality Handbook discusses important role and quality functions

35

Page 13-14

QualityProfessionals� Cross training & adaption of new skills

� IOM report (2003) – Health Professional Education: A Bridge to Quality� Patient-centered care� Interdisciplinary teams� Evidence-Based practice� Quality improvement� Informatics

36

Pages 15-19

QualityProfessionals� Healthcare Quality Essentials (NAHQ)

� Health Data Analytics� Population Health and Care Transitions� Performance and Process Improvement� Regulatory & Accreditation� Quality Review & Accountability� Patient Safety

� Quality & Safety Educations for Nurses (QSEN)� Six domains & competencies

� Certification

37

Pages 16-17